Journal of Immigrant and Minority Health

, Volume 9, Issue 2, pp 85–94

Sexual Behavior and Drug Use Among Asian and Latino Adolescents: Association with Immigrant Status

  • Jon M. Hussey
  • Denise D. Hallfors
  • Martha W. Waller
  • Bonita J. Iritani
  • Carolyn T. Halpern
  • Daniel J. Bauer
Original Paper


This paper contributes new evidence on the association between immigrant status and health by describing and attempting to explain patterns of co-occurring sex and drug use behaviors among Asian and Latino adolescents in the United States. Nine patterns of sex and drug use behaviors were identified from a cluster analysis of data from 3,924 Asian and Latino youth (grades 7–12) who participated in the National Longitudinal Study of Adolescent Health (Add Health). The relationship between immigrant status and risk cluster membership was evaluated with multinomial logistic regression. Compared to foreign-born youth, U.S. born Asian and Latino adolescents were more likely to engage in sex and drug risk behaviors. Family and residential characteristics associated with immigrant status partly accounted for this finding. The results indicate that among Asian and Latino adolescents, assimilation to U.S. risk behavior norms occurs rapidly and is evident by the second generation.


Acculturation Immigrants Sexual behavior Substance use United States 


  1. 1.
    Mokdad AH, Marks JS, Stroup DF, Gerberding JL: Actual causes of death in the United States, 2000. JAMA 2004; 291:1238–1245PubMedCrossRefGoogle Scholar
  2. 2.
    The Robert Wood Johnson Foundation: Substance Abuse: The Nation’s Number One Health Problem. Princeton, NJ: The Robert Wood Johnson Foundation; 2001Google Scholar
  3. 3.
    Sulak PJ: Sexually transmitted diseases. Semin Reprod Med 2003; 21:399–413PubMedCrossRefGoogle Scholar
  4. 4.
    Chesson HW, Blandford JM, Gift TL, Tao G, Irwin KL: The estimated direct medical cost of sexually transmitted diseases among American youth, 2000. Perspect Sex Reprod Health 2004; 36:11–19PubMedCrossRefGoogle Scholar
  5. 5.
    Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE, 2003: Monitoring the Future National Survey Results on Drug Use, 1975–2003: Volume I, Secondary school students (NIH Publication No. 04–5507). Bethesda, MD: National Institute on Drug Abuse. Available at: Accessed December 10, 2004Google Scholar
  6. 6.
    Day JC, 1996: Population Projections of the United States by Age, Sex, Race, and Hispanic Origin: 1995 to 2050. U.S. Bureau of the Census, Current Population Reports, P25–1130. Washington, DC: U.S. Government Printing Office. Available at: http:/www/ Accessed December 9, 2004Google Scholar
  7. 7.
    Fields J: Children’s Living Arrangements and Characteristics: March 2002. Washington, DC: U.S. Census Bureau; 2003Google Scholar
  8. 8.
    Hernandez DJ, Charney E, eds.: From Generation to Generation: The Health and Well-Being of Children in Immigrant Families. Washington, DC: National Academy Press; 1998Google Scholar
  9. 9.
    Hernandez DJ, ed.: Children of Immigrants: Health, Adjustment, and Public Assistance. Washington, DC: National Academy Press; 1999Google Scholar
  10. 10.
    Waters MC: Black Identities: West Indian Immigrant Dreams and American Realities. New York, NY: Russell Sage Foundation; 1999Google Scholar
  11. 11.
    Zhou M: Growing up American: The challenge confronting immigrant children and children of immigrants. Annual Review of Sociology 1997; 23:63–95CrossRefGoogle Scholar
  12. 12.
    Gfroerer JC, Tan LL: Substance use among foreign-born youths in the United States: does the length of residence matter? Am J Public Health 2003; 93:1892–1895PubMedGoogle Scholar
  13. 13.
    Harris KM: The health status and risk behaviors of adolescents in immigrant families. In Hernandez DJ, ed. Children of Immigrants: Health, Adjustment, and Public Assistance, pp 286–347. Washington, DC: National Academy Press; 1999Google Scholar
  14. 14.
    Fine LJ, Philogene S, Gramling R, Coups EJ, Sinha S: Prevalence of multiple chronic disease risk factors: 2001 National Health Interview Survey. Am J Prev Med 2004; 27(2S):18–24PubMedCrossRefGoogle Scholar
  15. 15.
    Hallfors D, Waller M, Ford C, Halpern C, Brodish P, Iritani B: Adolescent depression and suicide risk: association with sex and drug behavior. Am J Prev Med 2004; 27:224–231PubMedGoogle Scholar
  16. 16.
    Halpern CT, Hallfors DD, Bauer DJ, Iritani B, Waller MW, Cho H: Implications of racial and gender differences in patterns of adolescent risk behavior for HIV and other sexually transmitted diseases. Perspect Sex Reprod Health 2004; 36:239–247PubMedCrossRefGoogle Scholar
  17. 17.
    Patterson RE, Haines PS, Popkin BM: Health lifestyle patterns of U.S. adults. Prev Med 1994; 23:453–460PubMedCrossRefGoogle Scholar
  18. 18.
    Pronk NP, Anderson LH, Crain AL, Martinson BC, O’Connor PJ, Sherwood NE, Whitebird RR: Meeting recommendations for multiple healthy lifestyle factors: prevalence, clustering, and predictors among adolescent, adult, and senior health plan members. Am J Prev Med 2004; 27(2S):25–33PubMedCrossRefGoogle Scholar
  19. 19.
    Zweig JM, Lindberg LD, McGinley KA: Adolescent health risk profiles: The co-occurrence of health risks among females and males. Journal of Youth and Adolescence 2001; 30:707–728CrossRefGoogle Scholar
  20. 20.
    Pronk NP, Peek CJ, Goldstein MG: Addressing multiple behavioral risk factors in primary care: a synthesis of current knowledge and stakeholder dialogue sessions. Am J Prev Med 2004; 27(2S):4–17PubMedCrossRefGoogle Scholar
  21. 21.
    Blum RW, Beuhring T, Shew ML, Bearinger LH, Sieving RE, Resnick MD: The effects of race/ethnicity, income, and family structure on adolescent risk behaviors. Am J Public Health 2000; 90:1879–1884PubMedGoogle Scholar
  22. 22.
    Resnick MD, et al.: Protecting adolescents from harm: findings from the National Longitudinal Study on Adolescent Health. JAMA 1997; 278:823–832PubMedCrossRefGoogle Scholar
  23. 23.
    Lowry R, Kann L, Collins JL, Kolbe LJ: The effect of socioeconomic status on chronic disease risk behaviors among US adolescents. JAMA 1996; 276:792–797PubMedCrossRefGoogle Scholar
  24. 24.
    Santelli JS, Lowry R, Brener ND, Robin L: The association of sexual behaviors with socioeconomic status, family structure, and race/ethnicity among US adolescents. Am J Public Health 2000; 90:1582–1588PubMedGoogle Scholar
  25. 25.
    Brandon PD: The living arrangements of children in immigrant families in the United States. International Migration Review 2002; 36:416–436CrossRefGoogle Scholar
  26. 26.
    Harker K: Immigrant generation, assimilation, and adolescent psychological well-being. Soc Forces 2001; 79:969–1004CrossRefGoogle Scholar
  27. 27.
    Larsen LJ: The Foreign-Born Population in the United States: 2003. Washington, DC: U.S. Census Bureau; 2004. Current Population Reports, P20-551Google Scholar
  28. 28.
    Harris KM, Florey F, Tabor J, Bearman PS, Jones J, Udry JR, 2003: The National Longitudinal Study of Adolescent Health: Research Design. Available at: Accessed September 12, 2005Google Scholar
  29. 29.
    Udry JR, Hendrickson-Smith J: Unpublished documentation. Carolina Population Center, University of North Carolina at Chapel Hill; 1999Google Scholar
  30. 30.
    Hallfors D, Khatapoush S, Kadushin C, Watson K, Saxe L: A comparison of paper vs computer-assisted self interview for school alcohol, tobacco, and other drug surveys. Eval Program Plann 2000; 23:149–155CrossRefGoogle Scholar
  31. 31.
    Newman JC, Des Jarlais DC, Turner CF, Gribble J, Cooley P, Paone D: The differential effects of face-to-face and computer interview modes. Am J Public Health 2002; 92:294–297PubMedCrossRefGoogle Scholar
  32. 32.
    Turner CF, Ku L, Rogers SM, Lindberg LD, Pleck JH, Sonenstein FL: Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology. Science 1998; 280:867–873PubMedCrossRefGoogle Scholar
  33. 33.
    Stata Corp: Stata statistical Software: Release 8.0. College Station. TX: Stata Corporation; 2003Google Scholar
  34. 34.
    Newacheck PW, Park MJ, Brindis CD, Biehl M, Irwin CE: Trends in private and public health insurance for adolescents. JAMA 2004; 291:1231–1237PubMedCrossRefGoogle Scholar
  35. 35.
    Yu SM, Huang ZJ, Singh GK: Health status and health services utilization among US Chinese, Asian Indian, Filipino, and other Asian/Pacific Islander children. Pediatrics 2004; 113:101–107PubMedCrossRefGoogle Scholar
  36. 36.
    Ford CA, Bearman PS, Moody J: Foregone health care among adolescents. JAMA 1999; 282:2227–2234PubMedCrossRefGoogle Scholar
  37. 37.
    Delva J, Wallace JM, O’Malley PM, Bachman JG, Johnston LD, Schulenberg JE: The epidemiology of alcohol, marijuana, and cocaine use among Mexican American, Puerto Rican, Cuban American, and other Latin American eighth-grade students in the United States: 1991–2002. Am J Public Health 2005; 95:696–702PubMedCrossRefGoogle Scholar
  38. 38.
    Price RK, Risk NK, Wong MM, Klingle RS: Substance use and abuse by Asian Americans and Pacific Islanders: preliminary results from four national epidemiologic studies. Public Health Rep 2002; 117(Suppl. 1):S39–S50PubMedGoogle Scholar
  39. 39.
    Wallace JM, Bachman JG, O’Malley PM, Johnston LD, Schulenberg JE, Cooper SM: Tobacco, alcohol, and illicit drug use: racial and ethnic differences among U.S. high school seniors, 1976–2000. Public Health Rep 2002; 117(Suppl 1):S67–S75PubMedGoogle Scholar
  40. 40.
    Wong MM, Klingle RS, Price RK: Alcohol, tobacco, and other drug use among Asian American and Pacific Islander Adolescents in California and Hawaii. Addict Behav 2004; 29:127–141PubMedCrossRefGoogle Scholar
  41. 41.
    Johnson TP, VanGeest JB, Cho YI: Migration and substance use: evidence from the U.S. National Health Interview Survey. Subst Use Misuse 2002; 37:941–972PubMedCrossRefGoogle Scholar
  42. 42.
    Singh GK, Siahpush M: Ethnic-immigrant differentials in health behaviors, morbidity, and cause-specific mortality in the United States: an analysis of two national data bases. Hum Biol 2002; 74:83–109PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2006

Authors and Affiliations

  • Jon M. Hussey
    • 1
  • Denise D. Hallfors
    • 2
  • Martha W. Waller
    • 2
  • Bonita J. Iritani
    • 2
  • Carolyn T. Halpern
    • 1
  • Daniel J. Bauer
    • 3
  1. 1.Department of Maternal and Child HealthSchool of Public Health, and Carolina Population Center, University of North Carolina at Chapel HillChapel HillUSA
  2. 2.Pacific Institute for Research and EvaluationChapel HillUSA
  3. 3.Department of PsychologyUniversity of North Carolina at Chapel HillChapel HillUSA

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